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Query: UMLS:C0018799 (heart disease)
 34,133 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The AA. studied the psychological and working consequences of the myocardial infarction in a group of 147 patients outlived more than two years. 50% of them showed mood disturbances, 40% did not restarted of work and 20 worked again moderately. The interruption of the work had psychological reason in 32% of cases and economic reasons in 26%. The 38% of the subjects was pensioned and the 25% received a pension through work foult. According to the INPS data, in Italy, every year, 1000,000 pension claims, for arteriosclerotic cardiopathy or myocardial infarct are made. Pensions are granted in 99% of cases. The pension claims diminish from the North to the South of Italy and are lower among traders and farmers. The importance of psychological rehabilitation is confirmed by the resumption of work in 92% of the cases among the railway workers, that have a good medical assistance.
G Ital Cardiol 1979
PMID:[Psychological and occupational repercussions of myocardial infarct]. 54 4

Local hypothermia as a procedure for myocardial protection was utilized in 50 patients; 17 had congenital and 33 aquired heart disease. On patient with diagnosis of A-V canal, previously operated on, died on the 2nd postoperative day after mitral valve replacement and closure of a residual defect. Two other valvular patients died suddenly on the 9th and 20th postoperative days from thrombosis of the prosthesis. The lengths of time of aortic clamping required for correction of these various cardiopathies were analized and correlated with the final results. In comparison with the experience of other authors, a close relationship between the duration of the myocardial ischemia and the figures of morbi-mortality was observed. It is concluded that local hypothermia constitutes an adequate procedure for myocardial protection on the condition that the length of aortic clamping times do not exceed certain limits.
Arch Inst Cardiol Mex
PMID:[Protection of the myocardium with local hypothermia in open heart surgery]. 55 36

By referring to one of their own observed cases and reviewing the literature, the authors discuss the possible pathogenetic mechanisms of sudden death from obstructive hypertrophic cardiomyopathy and conclude with some practical comments on how to keep under observation patients affected with this cardiopathy, complicated by rhythm disturbances.
G Ital Cardiol 1977
PMID:[Obstructive hypertrophic cardiomyopathy: excito-conduction disturbances and sudden death (author's transl)]. 55 9

Two cases of patients with discrete subaortic stenosis complicated by aortic regurgitation resulting from the sequelae of bacterial endocarditis and treated by valvular replacement are described. A correct preoperative evaluation was due to echocardiographic data and pressure curves; left ventriculography did not show any evidence of subaortic obstruction in any of the cases. In one patient, bacterial endocarditis involved mitral valve too, which was replaced by an artificial prostheses. Bacterial endocarditis is very rare in patients with discrete subaortic stenosis, but it must be regarded as a factor complicating the natural history of cardiopathy.
G Ital Cardiol 1977
PMID:[2 cases of subaortic stenosis with subvalvular diaphragm complicated by postendocarditis aortic insufficiency]. 56 Oct 12

Groups of patients such as the elderly, the diabetic and women have been studied to evaluate the effectiveness of coronary revascularization. In this report 77 patients under age 40 years undergoing coronary revascularization were studied. There was a high prevalence rate of predisposing factors. Sixty-eight percent reported a family history of heart disease and 27 percent a history of diabetes; 57 percent were hypertensive, 43 percent were overweight, 91 percent smoked, 5 percent were diabetic and 16 percent had abnormal glucose tolerance curves. Sixty-four percent had hypercholesterolemia (cholesterol 250 mg/100 ml) and 56 percent hyperlipidemia. Forty-four percent had had a previous myocardial infarction; 95 percent had angina pectoris, 12 percent preinfarction angina and 9 percent congestive cardiac failure. There were no operative deaths. The incidence rate of perioperative myocardial infarction (new Q waves in the electrocardiogram) was 4 percent. The mean length of of follow-up was 26 months (range 6 months to 5 years). The late mortality rate was 4 percent. Eight percent had a late myocardial infarction. Overall graft patency was 85 percent. Sixty-seven percent of patients were free of angina, and 17 percent were in improved condition. Seventy-one percent returned to work, while 29 percent remained unemployed. This study shows that in young patients, coronary revascularization is associated with low mortality and morbidity rates and that, despite the wide prevalence of predisposing factors, the prognosis and graft patency rate of these patients are similar to those of other groups.
Am J Cardiol 1978 Mar
PMID:Coronary revascularization under age 40 years. Risk factors and results of surgery. 62 35

A 14 year old girl with Ebstein's anomaly and Wolff-Parkinson-White syndrome without supraventricular tachycardia underwent closure of an atrial septal defect and tricuspid valve commissurotomy. Her postoperative course was complicated by her first episodes of recurrent debilitating paroxysmal supraventricular tachycardia. Severe tricuspid insufficiency with low cardiac output necessitated a repeat intracardiac operation. At reoperation the patient underwent successful tricuspid valve replacement with concomitent cardiac mapping and division of the bundle of Kent. In patients with heart disease requiring intracardiac repair who also have Wolff-Parkinson-White syndrome, elective surgical division of the anomalous bundle is recommended whether or not preoperative attacks of tachycardia have occurred.
Am J Cardiol 1978 Mar
PMID:Elective mapping and surgical division of the bundle of Kent in a patient with Ebstein's anomaly who required tricuspid valve replacement. 62 37

100 consecutive patients with symptoms indicating heart disease during the 1st yr of life were studied with M-mode echocardiography. The echocardiographic diagnosis was compared with the final diagnosis based on heart catheterization, angiocardiography, operation, autopsy or follow-up of the patient. An echocardiographic examination could be made in all infants. The most important intracardiac structures when present could be identified with the following frequencies: mitral valve 100%, tricuspid valve 97%, aortic valve 95%, pulmonic valve 79%, interventricular septum 94%. The echocardiographic investigation gave a correct diagnosis in 26% of the patients, made an important contribution to the diagnosis in 22%, made some contribution to the diagnosis in 34%, ruled out important diagnostic questions in 5% and did not contribute to the diagnosis in 13% of the patients. This investigation has shown that echocardiography, when used as a first diagnostic step in a routine manner, can give much valuable diagnostic information.
Eur J Cardiol 1978 Feb
PMID:Value of echocardiography in routine diagnostic use during the first year of life. 63 Nov 78

The incidence of significant extracardiac malformations was determined in a combined clinical and autopsy study comprising 1000 infants and children with congenital heart disease treated and lost at the Children's Hospital in Helsinki. There were 567 boys and 433 girls. 1/4 of the children had a birthweight of 2500 g or less. 850 children were under 1 yr old. Death occurred during the 1st mth of life in 546 cases. Extracardiac malformations were encountered in 439 children. They were more common in girls than in boys. The incidence of associated malformations was comparatively high in infants with a low birthweight. The noncardiac anomalies were considered main causes of death in 1/3 of the cases. Extracardiac organs were involved in the following order of frequency: alimentary, skeletal, urogenital, central nervous and respiratory system. Of the main cardiac malformations, septal defects were associated with the highest and transposition of the great arteries with the lowest incidence of extracardiac anomalies. An accumulation of some defined noncardiac malformations was observed in patients with certain heart lesions.
Eur J Cardiol 1978 Mar
PMID:Extracardiac malformations associated with congenital heart disease. 64 75

11,584 consecutive live-born babies in the Ostetric Clinic of Florence in the years 1975 and 1976 were examined for the presence of congenital heart disease. Diagnosis was made by necropsy, cardiac catheterization and operation in 20% of cases and by clinical observations in 80%. The 74% of babies who were diagnosed as affected by congenital heart disease at birth were eventually controlled. The incidence of congenital heart disease was 7.1% in 10,789 live-born of weight over 2500 g while it was 37% in 795 under such weight. Global incidence was 9.2%. The first essentials in epidemiological study of congenital heart malformations is to define the method which is used for diagnosis since this is the primary factor responsible for wide variations in incidence. It is suggested that the institution of a Regional Register of malformations would allow more accurate estimate of overall incidence of congenital cardiopathies.
G Ital Cardiol 1978
PMID:[An epidemiological study of congenital heart disease. I. Incidence of cardiovascular malformations in 11,584 live-born babies in the District of Florence (Italy) (author's transl)]. 64 71

On 33 patients with mitralic heart disease (III and IV class N.Y.H.A.) we have carried out polimechanical investigations (ecg, fcg, x-ray examination, external heart impulse record) and the following parameters was determined: 1) interval Q-I sound; 2) interval II sound-OS; 3) Wells's index; 4) Q-I sound/II sound-OS ratio; 5) duration of electromechanical systole of right ventricle; 6) duration of external heart impulse; 7) relative amplitude of E and E1 as percentage of amplitude from E point to nadir point; 8) relaxation isovolumetric time of right ventricle; 9) medium value of pulmonary capillary pressure, total pulmonary resistances, and area of mitral valve. The results demonstrate that there is a correlation between these parameters and the pulmonary blood pressure, whose value is possible to determine as well as haemodynamic investigation. The data indicate validity of non invasive techniques in detecting pulmonary hypertension in mitralic valve diseases.
G Ital Cardiol 1978
PMID:[Diagnosis of pulmonary hypertension by means of noninvasive techniques (author's transl)]. 64 86


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